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WALMART PHARMACY 10-4577
CHC12857-00 WINN COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
WINN COMMUNITY HEALTH CENTER
Subdivision Name
Winn Community Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC12857-00
Entity Address
431 West Lafayette St.
Winnfield, LA 71483
Grant Number
H80CS12857
Participating Start Date
4/1/2011
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-4577
Pharmacy Address
321 W CALIFORNIA AVE
RUSTON, LA 71270
Pharmacy Comments
Contract Details
Approval Date
7/10/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DEANO THORNTON, CEO
(318) 648-0375 Ext: 214
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/10/2020
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